| NPI | 1588914204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MICHAEL MANJARRES Owner 415-990-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA A100304) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2014-10-31 |